CAJ | 학술논문

儿童肺栓塞与肺静脉血栓在儿童较为少见,但却可危及生命.与成人比较,绝大部分儿童肺栓塞和肺静脉血栓有危险因素存在,临床表现无特异性,包括气短、胸痛及咯血等.大部分治疗上的经验来自于成人肺栓塞,是否适用于儿科患者,需要结合患儿的基础疾病,权衡风险与获益,特别是血流动力学的情况而定.现针对儿童肺栓塞和肺静脉血栓的流行病学、临床表现、诊断与治疗等进行综述.
인동폐전새여폐정맥혈전재인동교위소견,단각가위급생명.여성인비교,절대부분인동폐전새화폐정맥혈전유위험인소존재,림상표현무특이성,포괄기단、흉통급각혈등.대부분치료상적경험래자우성인폐전새,시부괄용우인과환자,수요결합환인적기출질병,권형풍험여획익,특별시혈류동역학적정황이정.현침대인동폐전새화폐정맥혈전적류행병학、림상표현、진단여치료등진행종술.
Pulmonary embolism or pulmonary vein thrombosis is rare in children but does occur.Compare to adults,the vast majority of children with PE have risk factors.The clinical manifestation includes shortness of breath,pleuritic chest pain,and hemoptysis,however,which are not specific.The majority of evidence for treatments in the pediatric population is extrapolated from adult populations; the choice of treatment should be guided by risks and benefits,underlying disease,and especially,the hemodynamic stability of the patient.This article reviews the current knowledge of pulmonary embolism and pulmonary vein thrombosis in the pediatric population,summarizing its characteristics from epidemiological aspects to diagnostic and therapeutic relevant issues.